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id="c9mwr0cm" class="author cf"></div> <div id="c9mwr0cm" class="channel cf"> <div id="c9mwr0cm" class="col-1-1"> 2024年06月18日09:58 | </div> <div id="c9mwr0cm" class="col-1-2 fr"> <span id="c9mwr0cm" class="rm_type"><img src="/img/2020wbc/imgs/icon_type.png" alt=""><i>小字號(hào)</i></span> </div> </div> <div id="c9mwr0cm" class="rm_txt_con cf"> <div id="c9mwr0cm" class="bza"><span></span><p></p></div> <div id="c9mwr0cm" class="box_pic"></div> <p style="text-indent: 2em;">“差不多20萬元的醫(yī)療費(fèi)用，報(bào)銷后只需要花4萬多元，醫(yī)保給了我家實(shí)實(shí)在在的幫助，幫我們渡過難關(guān)?！?沈大爺?shù)膬鹤蛹?dòng)地說。</p> <p style="text-indent: 2em;">家住漳州市詔安縣深橋鎮(zhèn)大美村的沈大爺是建檔立卡貧困戶，是醫(yī)療救助“免申即享”的受益者之一。沈大爺近年來被診斷出患有多種疾病，在納入醫(yī)療救助對(duì)象后，他在辦理醫(yī)保結(jié)算時(shí)可進(jìn)行醫(yī)療費(fèi)用醫(yī)保“一站式”直接結(jié)算。2023年至2024年5月期間，其住院和門診特殊病種結(jié)算累計(jì)發(fā)生醫(yī)療費(fèi)用19.35萬元，其中醫(yī)保基金支付10.3萬元、大病保險(xiǎn)支付3.9萬元，醫(yī)療救助托底資助0.8萬元，三重醫(yī)療保障共受益15萬元。</p> <p style="text-indent: 2em;">據(jù)了解，為扎實(shí)推進(jìn)國(guó)家醫(yī)保“高效辦成一件事”，持續(xù)提升醫(yī)保經(jīng)辦服務(wù)能力，漳州市詔安醫(yī)保局高效落實(shí)醫(yī)療救助政策惠及民生，實(shí)現(xiàn)醫(yī)療救助對(duì)象資助參?！懊馍昙聪怼?，即享受資助參保政策的醫(yī)療救助對(duì)象，集中參保繳費(fèi)期內(nèi)在困難身份認(rèn)定地參保的，根據(jù)相關(guān)部門提供的身份標(biāo)識(shí)直接享受基本醫(yī)保參保財(cái)政補(bǔ)助和醫(yī)療救助資助，不需要申請(qǐng)，同時(shí)可享受城鄉(xiāng)居民基本醫(yī)療保險(xiǎn)、大病保險(xiǎn)、醫(yī)療救助三重醫(yī)療保障“一站式”聯(lián)網(wǎng)醫(yī)保結(jié)算。據(jù)統(tǒng)計(jì)，2024年，詔安縣3.42萬名重點(diǎn)人群全覆蓋納入城鄉(xiāng)居民醫(yī)療保險(xiǎn)，資助參保資金1231.2萬元，已享受醫(yī)療救助金額692萬元，有效鞏固拓展醫(yī)保脫貧攻堅(jiān)成果銜接鄉(xiāng)村振興工作。</p> <p style="text-indent: 2em;">近年來，漳州市詔安醫(yī)保局始終堅(jiān)持醫(yī)保為民的服務(wù)理念，聚焦群眾醫(yī)保領(lǐng)域急難愁盼問題，建立部門信息互聯(lián)互通和資源共享長(zhǎng)效機(jī)制，按照每月調(diào)整、定期核查原則，每月依據(jù)民政、鄉(xiāng)村振興辦、衛(wèi)健等相關(guān)部門提供的困難群眾名單信息，及時(shí)在醫(yī)保系統(tǒng)進(jìn)行身份標(biāo)識(shí)，實(shí)現(xiàn)救助對(duì)象資助參?！懊馍昙聪怼本珳?zhǔn)覆蓋，確保困難群眾各項(xiàng)醫(yī)療保障政策落實(shí)到位，有效防止因病致貧返貧情況的發(fā)生。同時(shí)，強(qiáng)化數(shù)據(jù)動(dòng)態(tài)監(jiān)測(cè)分析，精準(zhǔn)認(rèn)定、動(dòng)態(tài)掌握，對(duì)大額醫(yī)療費(fèi)用支出數(shù)據(jù)做好預(yù)警監(jiān)測(cè)，及時(shí)向民政、衛(wèi)健等部門推送符合條件的監(jiān)測(cè)預(yù)警對(duì)象名單，實(shí)現(xiàn)醫(yī)療救助從“人找政策”到“政策找人”的轉(zhuǎn)變，更好兜住兜牢民生底線。</p> <p style="text-indent: 2em;">2024年以來，詔安醫(yī)保局通過動(dòng)態(tài)調(diào)整將3360人納入醫(yī)療救助保障范圍，確保因病返貧致貧風(fēng)險(xiǎn)群體及時(shí)發(fā)現(xiàn)、及時(shí)救助，有效減輕了困難家庭經(jīng)濟(jì)負(fù)擔(dān)，讓民生保障更加穩(wěn)固，困難群眾識(shí)別更精準(zhǔn)，醫(yī)保救助落實(shí)更高效。（黃寒玉）</p><div id="c9mwr0cm" class="zdfy clearfix"></div><center><table border="0" align="center" width="40%"><tr></tr></table></center> <div id="c9mwr0cm" class="box_pic"></div> 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